HomeMy WebLinkAboutHomestead_Haake (2) INDIANA SALES DISCLOSURE FORM SDF ID: I Page 2
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Preparer of the So la Disclosure Form
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Address(Number and Street) Company
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City,State,and ZIP Code Telephone Number I E-mail
iE SEL'LER S GRANTORS ice s'i " _ *'z- 11 if:
Seethe Name as appears on conveyance document Seller 2-Nome as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
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Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complet as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller I Signature of Seller
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Printed Name of Seller Sign Dote(MMl/DD/YYV1] Printed Name of Seller Sign Date(MM/DO/YY t)
I E.$BUY E R(S)/GRANTEE(SMAPP.L[CAT10NiF0 MPROP 8 RTY,TAX:DE D U CTIQ N5WDENT f FYIA LL�ITEMT�{AT'AP PL're
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Buyer I•Name adaptors on conveyance document Buyer 2-Name as appears on conveyance document
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Address(Prober and Street) ____ (Number and Street)
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT A
YES NO CONDITION YES NO CONDITION •
1.Will this property be the buyer's primary mmM 3.Homestead ��
E ❑ P PrtY y P rY � ❑
residence? Provide complete address of primary 4.Solar Energy Heating/Cot1SSHRSitt rr
residence,including county: ❑ --Z��s
5.Wind Power Device
Address(Number and Street) ❑ 6.Hydroelectric Power D../•, • i ,
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City,State Peade caanry ❑ Iv 7.Geothermal En9P6Thiig�,l.q 'dA- ice
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental proVPI DR
vacated for this residence? If yes,provide ❑ Ex 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for moire information.
Not available in all counties.)
Address(Number and Street)
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City.State ZIP Code County
Primary property owner contact name Email